EVERSANA ยท 9 hours ago
Healthcare Call Center Specialist
Mason, OH
Full-time
Onsite
New Grad, Entry LevelEVERSANA is a global company committed to creating a healthier world through innovative commercialization services for the life sciences industry. The Healthcare Call Center Specialist will provide reimbursement support and assistance to patients, healthcare providers, and payers, focusing on benefit coverage and prior authorization processes.
Pharmaceutical
Responsibilities
Provide dedicated and personalized support delivered over the phone, CRM, and email
Complete investigations and answer questions regarding insurance benefits, including information about coverage and out-of-pocket costs
Assist with prior authorization and medical necessity processes, benefit verification and assistance in a manner that is consistent with industry best practice
Determine when call reason is best handled by third party support center and triage accordingly
Maintain positive attitude and a helpful approach to customers and clients
Conduct enrollment intake for all incoming inquiries
Participate in continuous quality improvements and training opportunities
All other duties as assigned
Assist callers with benefit verifications and providing support related to coverage, out-of-pocket costs and prior authorizations as needed
Triage to appropriate third party support centers
Focus on results in a professional, ethical, and responsible manner when dealing with patients, caregivers, customers, vendors, team members, and others
Accepts being accountable and responsible in work practices and expectations. Delivers what is promised
Fosters a collaborative, team-oriented attitude. Communicates effectively with others with clarity and transparency
Uses innovative critical and creative thinking to evaluate and solve work and customer issues
Seeks assistance in solving work problems through collaboration and information seeking
Learn, understand and follow all company and client policies and procedures
Excellent attendance
Must be able to work rotating 8 hour shifts Monday through Friday
Qualification
Required
Strong pharmacy reimbursement experience, especially understanding of prior authorization process
Experience conducting benefit verifications with payers preferably supporting retail prescription drug products
Knowledge of healthcare administration and specifically healthcare billing and reimbursement procedures and regulations
Knowledge of Retail Pharmacy Operations preferred
Excellent oral, written, and interpersonal communication skills
Ability to multi task
Positive attitude
Accurate and detail-oriented
Ability to work independently and function as a team player
Ability to work in a fast paced, metric driven environment, while remaining patient minded
Strong computer skills with a working knowledge of Microsoft Word, Excel, and PowerPoint
Excellent attendance
Must be able to work rotating 8 hour shifts Monday through Friday
Preferred
Customer service and/or contact center experience
Reimbursement/Patient Services experience
Company
EVERSANA
EVERSANA is the provider of global services to the life science industry.
Founded in 2018
5001-10000 employees
H1B Sponsorship
EVERSANA has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (19)
2024 (9)
2023 (24)
2022 (9)
2021 (9)
2020 (7)
Funding
Current Stage
Late StageTotal Funding
unknown2018-10-01Private Equity
Leadership Team
Mark Thierer
Chief Executive Officer
Suzanne Greenwood
Chief Commercial Officer, Oncology
Recent News
Precedence Research
2025-11-27
2025-11-23
Company data provided by crunchbase